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Found 1,353 results
  1. News Article
    More than three quarters of GPs fear delays to care because of COVID-19 will harm patients, with one in three reporting that urgent referrals have been rejected during the pandemic, a GPonline poll shows. The poll of 415 GPs found that 77% were concerned that delays to operations and treatments for non-COVID-19 issues would result in patients coming to harm. Meanwhile, 30% of GPs said they have had an urgent referral rejected during the pandemic. Rejected referrals included two-week-wait referrals for suspected cancer as well as urgent referrals for investigations such as ECGs, echocardiograms and CT scans. GPs also highlighted concerns over delays to treatment for cancer, with respondents warning that breast cancer surgeries had been postponed or chemotherapy delayed. Read full story Source: GP Online, 5 May 2020
  2. Content Article
    Editor in chief, Nicholas Thompson, hosted a Facebook Live with ER doctor turned co-founder Caesar Djavaherian, who now serves as the chief medical officer of his telehealth company, Carbon Health. This was the first in a series of four conversations presented by Salesforce in which WIRED will explore what the coronavirus pandemic means for the future of business, education, technology, and health.
  3. News Article
    The Joint Committee on Human Rights has published a report on the contact tracing app, concluding that if effective, the app could pave the way out of the current lockdown restrictions and help prevent the spread of coronavirus, but there are significant concerns regarding surveillance and the impact on other human rights which must be addressed first. Last month the Committee launched their inquiry into the Government’s response to Covid-19: human rights implications. Following this, the Committee has produced a Reportthat outlines the key actions the Government must take to ensure that the app respects human rights including the right to privacy and non-discrimination at the same time as enabling individuals to move around more freely whilst helping to prevent the spread of the virus. The Chair of the Committee, Harriet Harman MP, said: “Assurances from Ministers about privacy are not enough. The Government has given assurances about protection of privacy so they should have no objection to those assurances being enshrined in law." "The contact tracing app involves unprecedented data gathering. There must be robust legal protection for individuals about what that data will be used for, who will have access to it and how it will be safeguarded from hacking. Parliament was able quickly to agree to give the Government sweeping powers. It is perfectly possible for parliament to do the same for legislation to protect privacy.” Read full story Source: www.parliament.uk, 7 May 2020
  4. News Article
    The government said it will set up ‘dedicated team’ to look for innovative ways for the NHS to continue treating people for coronavirus, while also providing care for non-covid health issues. In its pandemic recovery strategy published today, the government also said step-down and community care will be “bolstered” to support earlier discharge from acute hospitals. The 60-page document contained little new information about plans for NHS services, but said: “The government will seek innovative operating models for the UK’s health and care settings, to strengthen them for the long term and make them safer for patients and staff in a world where COVID-19 continues to be a risk. “For example, this might include using more telemedicine and remote monitoring to give patients hospital-level care from the comfort and safety of their own homes. Capacity in community care and step-down services will also be bolstered, to help ensure patients can be discharged from acute hospitals at the right time for them". To this end, the government will establish a dedicated team to see how the NHS and health infrastructure can be supported for the COVID-19 recovery process and thereafter. Read full story Source: 12 May 2020
  5. Content Article
    The Committee identified the following health-related objectives of the lockdown withdrawal strategy: 1. Reduce spread of the COVID-19 virus. 2. Minimise loss of healthcare professionals and maximise their safety and availability to continue the work. 3. Increase case management capacity in existing hospitals and new hospitals. 4. Increase testing to eliminate community spread. 5. Ensure access to normal healthcare requirements of the population. 6. Maintain normal healthcare capacity during the coronavirus period. 7. Maintain public health initiatives (vaccinations, food/nutrition of children and pregnant/feeding mothers.
  6. News Article
    The leader of the NHS’ pandemic testing programme has highlighted concerns about the rate of COVID-19 transmissions in hospitals, HSJ can reveal. NHS England’s patient safety director Dr Aidan Fowler told an industry webinar that he and his team “are concerned about the rates of nosocomial spread within our hospitals”. Dr Fowler leads the NHS and Public Heath England testing programme (know as “pillar one”). He said the concerns had led to a focus on discovering where transmissions of covid-19 are occurring in hospitals, and how the NHS can reduce the rate of staff and patients becoming infected while on the NHS estate. His comments come as the NHS attempts to restart the provision of routine elective care and prepares for a significant increase in emergency admissions. The NHS has been told to create separate areas for covid positive and negative patients where possible, regardless of what they are being treated for. Patients are being to self-isolate at home for two weeks before attending hospital for treatment. Read full story Source: HSJ, 18 March 2020
  7. Content Article
    View recording of the webinar To read more about our top highlights and takeaways from the webinar, and how we're using your questions and concerns to shape our work in non COVID-19 care and patient and staff safety, please see our blog. We'd love to hear more of your views and questions to help inform Patient Safety Learning's future webinars. Please share ideas for topics in our Community thread.
  8. Content Article
    This statement highlights an anticipated increase in the need for rehabilitation across four main population groups: 1. People recovering from COVID-19, both those who remained in the community and those who have been discharged following extended critical care/hospital stays. 2. People whose health and function are now at risk due to pauses in planned care. 3. People who avoided accessing health services during the pandemic and are now at greater risk of ill-health because of delayed diagnosis and treatment. 4. People dealing with the physical and mental health effects of lockdown. The rehabilitation needs of these at-risk groups are vitally important and need to be met as AHPs collectively support people to recover, regain health and wellbeing, and reach their potential, and ultimately ensure we flourish as a nation.
  9. News Article
    More than 460 people with a learning disability have died from coronavirus in just eight weeks since the start of the outbreak in England. New data shows between the 16 March and 10 May 1,029 people with a learning disability died in England, with 45 per cent, 467, linked to coronavirus.Overall the number of deaths during the eight weeks is 550 more than would be expected when compared to the same period last year. The charity Mencap warned people with a learning disability were “being forgotten in this crisis” and called for action to tackle what it said could be “potentially discriminatory practice.” It highlighted the percentage of Covid-19 related deaths among learning disabled people was higher than those in care homes, where the proportion of Covid-19 deaths was 31 per cent for the same period. The data has been published after an outcry over the lack of transparency about the impact of Covid-19 on mental health patients and people with a learning disability or autism. Read full story Source: The Independent, 19 May 2020
  10. News Article
    European countries should brace themselves for a deadly second wave of coronavirus infections because the pandemic is not over, the World Health Organization’s top official in Europe has said. In an exclusive interview with The Telegraph, Dr Hans Kluge, director for the WHO European region, delivered a stark warning to countries beginning to ease their lockdown restrictions, saying that now is the "time for preparation, not celebration". Dr Kluge stressed that, as the number of cases of COVID-19 in countries such as the UK, France and Italy was beginning to fall, it did not mean the pandemic was coming to an end. The epicentre of the European outbreak is now in the east, with the number of cases rising in Russia, Ukraine, Belarus and Kazakhstan, he warned. Read full story (paywalled) Source: The Telegraph, 20 May 2020
  11. News Article
    People will be asked to self-isolate for two weeks even if they are asymptomatic after coming into ‘high-risk’ contact with a person who has tested positive for COVID-19 – a testing chief has told NHS executives. This marks a change from the official guidance given to users of the government’s contact tracing app – on NHS’ COVID-19 website – which states: “If you do not have symptoms, you do not need to self-isolate at this time.” John Newton, a leader of the UK’s testing programme, would be “directed towards those people at high risk” instead of the wider public. He added the government faces a “huge communications exercise” next week ahead of the launch of the test and trace programme. Giving an update on the test and trace programme – which is due to launch on 1 June – Professor Newton said: “People who are deemed high risk contact of confirmed [COVID-19] cases will be told to self-isolate for 14 days, even if they have no symptoms at the time. Professor Newton said: “The point is there will still be a requirement to contain the virus, but the impact in terms of containment will be directed towards those people at high risk so the rest of the population can enjoy more normal life." He said the programme’s success would depend on the public’s response in terms of: Presenting themselves for a test if they have symptoms; Providing the information needed to identify high risk contacts; and Those people identified as high risk contacts complying with advice to self-isolate. Read full story Source: HSJ, 21 May 2020
  12. News Article
    The risk of dying from coronavirus is more than twice as great in the most deprived areas of England – with the disparity largest for women, analysis shows. A study by the Health Foundation of deaths from COVID-19 showed women in the most deprived parts of the country had a risk of dying that was 133% higher than those in the least deprived neighbourhoods. Between men the difference in risk was 114% higher in worse-off areas, suggesting that while deprivation is a key factor in risk of death from coronavirus for both sexes, its effect is worse for women. Experts say the evidence shows the impact of COVID-19 is falling disproportionately on the poorest in society. Mai Stafford, principal data analyst at the Health Foundation, told The Independent: “This pandemic could and should be a watershed moment in creating the social and political will to build a society that values everyone’s health now and in the long term. Without significant action, there is a real risk that those facing the most disadvantage will eventually pay the highest price.” Read full story Source: The Independent, 21 May 2020
  13. Content Article
    The eight minute video addresses the three pillars (stakeholders) in fighting the pandemic: individuals and society, government and authorities, and other stakeholders such as the media, industry and HNIs. The video emphasises on some of the less addressed but critical issues, putting them in to perspective. This was recorded 2 April 2020 but the advice continues to be relevant to not only India but globally.
  14. News Article
    NHS England has said disabled and vulnerable patients must not be denied personalised care during the coronavirus pandemic and repeated its warning that blanket do not resuscitate orders should not be happening. In a joint statement with disabled rights campaigner and member of the House of Lords, Baroness Jane Campbell, NHS England said the COVID-19 virus and its impact on the NHS did not change the position for vulnerable patients that decisions must be made on an individualised basis. It said: “This means people making active and informed judgements about their own care and treatment, at all stages of their life, and recognises people’s autonomy, as well as their preferences, aspirations, needs and abilities. This also means ensuring reasonable adjustments are supported where necessary and reinforces that the blanket application of do not attempt resuscitation orders is totally unacceptable and must not happen.” Read full story Source: The Independent, 26 May 2020
  15. News Article
    Facial recognition has been added as a way of logging in to an NHS app that lets people order prescriptions, book appointments and find healthcare data. Initially, it will allow faster access to the services on the app, which is separate from the contact-tracing one, but its developers say it could also be used for COVID-19 "immunity passports". The NHS facial-recognition system, built by iProov and available for both Android devices and iOS, requires users to submit a photo of themselves from an official document such as their passport or driving license. They then scan their face using their phone and, following a short sequence of flashing colours, their identification will be verified and they will have access to all the services on the NHS app. Immunity passports need to link a person's identity to their coronavirus test results, so would require a robust way of allowing people to verify themselves. Those deemed clear of the virus could then prove their status via a code generated by an app. However, the idea is controversial, not least because there is no hard scientific evidence that having had the coronavirus provides people with long-lasting immunity. The World Health Organization has warned countries against implementing such passports, saying: "There is currently no evidence that people who have recovered from COVID-19 and have antibodies are protected from a second infection." Dr Tom Fisher, a senior researcher at Privacy International, said the implementation of such measures needed to be "necessary, proportionate and based on the epidemiological evidence". "For the moment, immunity passports do not meet this test," he said. "We must be concerned about the broad societal impact of such immunity passports. They are essentially about limiting the rights of those who are not deemed to be immune. This is a route to exclusion and discrimination." Read full story Source: BBC News, 27 May 2020
  16. News Article
    Deaths resulting from COVID-19 infection account for only half of the number of excess deaths taking place in private homes, expert analysis of latest data suggests. Figures from the Office for National Statistics from the seven weeks to 15 May show that more than 40 000 COVID-19 deaths have now taken place in hospitals, care homes, and private homes in England and Wales. The figures also show 14 418 excess non-covid deaths. Although COVID-19 was mentioned on death certificates 13 500 times in care homes and private homes over the past seven weeks, some 23 500 more non-covid deaths have taken place in the community than would be expected. Discussing the data, David Spiegelhalter, chair of the Winton Centre for Risk and Evidence Communication at the University of Cambridge, said that “as soon as the pandemic started we saw a huge immediate spike in non-covid deaths in [private] homes that occurred close to the time hospitals were minimising the service they were providing." “Over the seven weeks up to 15 May, as the NHS focused on covid, around 8800 fewer non-covid deaths than normal occurred in hospitals.” He added that these had not been “exported” to care homes, since fairly few care home residents normally died in hospitals. Instead, he said, it seemed that these deaths had contributed to the huge rise in extra deaths in private homes during this period. Read full story Source: BMJ, 27 May 2020
  17. Content Article
    Face masks for the public during the covid-19 crisis Face coverings for the public: Laying straw men to rest
  18. Content Article
    Currently, as I work from home developing materials for our new PgCert and MSc ‘Human Factors for Patient Safety’ course, I am also, as are many others, watching our current pandemic unfold and reflecting on how this emphasises the importance of such a course for those working within the health and social care sectors. We are living in uncertain times, which for most people is stressful and worrying for many different underlying reasons: loss of income, loss of a job, fear of contracting the illness and the lottery of outcomes, living in isolation or living in crowded homes 24/7, reduced opportunity to exercise, concern for children and other family members and friends, fear of what comes next… to name just a few. As a human factors professional, this comes as no surprise since our job is always to consider the range of human responses and human characteristics in order to identify to what extent it is possible to support this range; and this is indeed happening. For those with mobile phones and internet access, the virtual world is rapidly expanding with new and newly found apps to connect extended families and friends, to undertake virtual meetings, online lessons and assessments, access to art and museums, research opportunities, theatre performances, online exercise classes and increased opportunities to shop. For those without this access the difference is stark. Let’s turn our attention to these apps; someone first has to have the idea and check that there are people out there who would be interested, then there is the need to design the app, and in such a way that we want to use them and can use them. To do this is dependent upon considering the user, i.e. us humans – this is achieved by integrating user-centred design (UX design) and human factors (ergonomics). Turning our attention back to the health and social care sector, we need to consider human factors when assessing the myriad of health apps out there and the increasing use of apps to support our health and social care – from prompting individuals to take their medication to monitoring our health or providing health advice. So what else are we seeing as this pandemic embraces us all? Information is constant, we are truly a connected global society, from daily ministerial briefings to news reports and social media. This provides very public and graphical representations of our human responses – intellectual, emotional, behavioural and physical. For example, we see numbers of confirmed COVID-19 cases and deaths, graphs and charts showing where these are occurring, the age and gender, we see percentages of the population affected BUT to do something about this requires us again to dig deeper. We need to find out the underlying reasons. In the same way, when we respond to patient safety incidents we need to dig deeper and identify the underlying and root causes so that we can truly do something about it. I'd like to provide some examples of how my work in human factors is influencing COVID-19 research and resources. In response to the UK Government asking for businesses to provide thousands of ventilators to help tackle the COVID-19 pandemic, myself and other human factors professionals collaborated with Patient Safety Learning to provide human factors/ergonomics input to support the design effort for these new ventilators. This resulted in a ventilator safety in use driver diagram developed by Patient Safety Learning and a human factors guide from the Chartered Institute of Ergonomics and Human Factors. In addition, in an example of cross-industry collaboration, Yorkshire Water gave me permission to share their human factors engineering specification with designers of ventilators and other critical medical device designers, which quickly took place. Following this, my attention was turned towards sharing advice on working in high heat and heat stress. Based on the Health & Safety Executive Guidance (HSE (2013) INDG451 ‘Heat Stress in the workplace’), I produced a document and flowchart addressing what happens to us when we experience extreme heat, this has been welcomed and shared by the London midwife managers. Next, came questions relating to shift work and fatigue, which led to me creating a summary document based again on a Health Safety Executive website and an ORR document (Office of Rail Regulation [Jan 2012] Managing Rail Staff Fatigue) that emphasises the need for a fatigue management system plus tips for helping ourselves and each other to sleep better when shift working and to recognise and respond to the symptoms of fatigue (www.staffs.ac.uk/clinical-skills). It has also been interesting to note the range of public and enforcement behaviours shown in the media that relate to our response to the ‘lockdown’ in this and other countries. Human responses often link to aspects of culture and sub-cultures, power and influence, personal responsibility and risk perception. All of which are highlighted during our Human Factors for Patient Safety course. Looking ahead, I can see many learning and research opportunities evolving from this pandemic and the opportunity to add to our human factors knowledge base for the good of society. Within the Staffordshire School of Health and Social Care our mix of staff provides us with a unique opportunity to achieve new research in human factors and patient safety and we look forward to embracing the opportunity to learn together.
  19. News Article
    New data has shown the number of coronavirus patients being admitted to hospital and intensive care units across the country has risen as lockdown rules are set to be eased further on Monday. The Public Health England (PHE) data, published on Friday, covers 134 NHS trusts across the country and shows the daily rate of new patients admitted to hospital and critical care with COVID-19 has risen compared to recent weeks, with London experiencing a sharp spike in new admissions in the past week. The south east region also saw an increase. The surveillance data on the spread of COVID-19 throughout England has also revealed an increase in the number of people testing positive at their GP. Read full story Source: Independent, 31 May 2020